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340B Drug Pricing Program

Marshall (Marshall) is an independent, nonprofit community healthcare provider located in the heart of the Sierra Foothills between Sacramento and South Lake Tahoe. Marshall includes Marshall Hospital, a fully accredited acute care facility with 111 beds located in Placerville and several outpatient facilities located in Cameron Park, Placerville, El Dorado Hills and Georgetown. Marshall has over 190 affiliated physicians and a team of approximately 1600 employees providing quality healthcare services to approximately 150,000 residents of, plus visitors to, the western slope of El Dorado County. Marshall is a Disproportionate Share Hospital (DSH), serving a significant population of Medicare and Medi-Cal patients.

Our mission is to improve the health of our community and offer health services of superior value and quality, centered on the goals and needs of our patients. We strive to deliver service that exceeds our patients’ expectations.

Marshall provides charity care and other financial assistance to those in the community who cannot afford services, or whose health insurance does not cover all services rendered. For the fiscal year ending in 2017, the value of that community benefit was over $61 million. 77% of those who seek care from Marshall are covered by a government insurance program, and an additional 2% - 3% are uncompensated care.

340B in Action

  • $84 million - our uncompensated care includes charity care, bad debt and underpayment
  • 150,000 - residents of rural and semi rural El Dorado County in our service area
  • $6.2 million - our approximate2019 340B savings
  • 1,700 - employees serving the needs of our community in 22 El Dorado County sites
  • 4 - average number of chronic diseases a patient in the Community Care Network has
  • 77% - our population enrolled in Medicare or MediCal

How we benefit from the 340B program: Savings from the 340B program allows Marshall to maintain vital community services, such as:

  • Community Care Network, providing care to our community’s most medical fragile residents;
  • Establishing additional outpatient clinics to improve access, such as our new CARES clinic, providing Clinically Assisted Recovery and Education Services;
  • Providing access to specialty care, such as oncology care, not otherwise available to many low-income individuals in the community; and
  • Maintaining current, modern technology to provide the most state-of-the-art care for our patients

If 340B were discontinued or scaled back: Reducing or eliminating the 340B program will do nothing to lower the price of drugs, nor will it reduce federal spending on healthcare. But if this program is reduced or eliminated, Marshall will have to make tough decisions about providing vitally-needed services in our community, and may have to scale back or discontinue service lines that meet the needs of the most vulnerable members of our community.

Click here to learn more about 340B